Individual
SARAH ROOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
1250 FOREST AVE STE 301, PORTLAND, ME 04103-1884
(207) 797-5753
Mailing address
510 AUBURN ST, PORTLAND, ME 04103-2112
(207) 576-6720
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PENDING
ME
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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